Individual
CASEY REXROAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 INDUSTRIAL PARK RD, MONMOUTH, IL 61462-9796
(309) 734-8428
Mailing address
1112 E FRANKLIN AVE, MONMOUTH, IL 61462-1464
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
001059393
IL
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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